Over the past 150 years, US government leaders have slowly but surely expanded access to health insurance and medical care for children. The Medicaid program represents federal and state governments’ largest commitment to financing health care for children from low-income families and children with chronic medical conditions. In 2025, we took a big step, potentially backward. The recent One Big Beautiful Bill Act (OBBBA) will challenge states to maintain coverage for vulnerable children and families and stretch health systems to their limits. The legislation may also create the conditions for greater experimentation and ultimately a more comprehensive system of care for children’s health in the US.
Clinical Practice Guidelines